The Effect of Scapular Proprioceptive Neuromuscular Facilitation (PNF) Exercises

NCT06198569 | Completed

• 1 other identifier: ZİKK
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Posture is generally defined as the sitting or standing position of a person's body. Repetitive or prolonged positioning in an atypical posture may also occur as a risk factor for the development of musculoskeletal diseases. Race, gender, seasons, nutrition, socio-economic status, profession and occupations, psychological state, hygiene, sleep patterns, exercise habits, fatigue, fractures, soft tissue disorders, disorders in the normal alignment angles of the joints, and emotional states such as joy, grief, and distress. It affects posture. Creating professional awareness among physiotherapy and rehabilitation students is very important for the physiotherapy profession, which has a very important role in protecting and improving public health, to achieve its professional goals. On the other hand, physiotherapists and physiotherapy students are at great risk of musculoskeletal disorders due to their working conditions and working postures. The basic principle of proprioceptive neuromuscular facilitation techniques, defined as facilitating the responses of the neuromuscular mechanism by stimulating the proprioceptors and briefly referred to as PNF, is based on the principle that physiological movements in the human body have rotational and oblique characters and that a greater response can be achieved with movements performed against maximum resistance. The shoulder girdle serves purposes beyond stabilization and movement of the extremities. The clavicle and scapula cooperate as a single unit in the shoulder girdle. The scapula is not a weight-bearing structure during normal functions; rather, it supports the attachment of skeletal muscles.

Conditions

Postural Kyphosis

Keywords

PNF; Scapular exercise

Outcome Measures

Primary Outcomes (3)

• Muscle Strength

  Lower extremity muscle strength will be measured with a digital muscle dynamometer. Lower extremity muscles will be evaluated using a digital dynamometer (Knect). With this device, muscle force values are expressed in Newton (N). Muscle strength will be recorded by making 3 measurements with a digital dynamometer, on the right and left extremities, without allowing the patients to compensate, and the average values will be used.

  Baseline and after 6 weeks

• Posture

  It will be done with the PostureScreen Mobile (PSM) application. Using the phone's camera application, participants will be photographed from 4 directions: front, back (coronal plane), right and left (sagittal plane). After the photo is taken, after marking the anatomical points specified in the application, the function of the application is started and the right or left shift and tilt angles of the head, shoulders, rib cage, hips from the front, the tilt angles of the head, shoulders, hips, knees from the side and the head, shoulders, rib cage from the back are displayed. , right and left tilt and shift angles of the midpoint of the hip, T1-T4, T4-T8, T8-T12, T12-L3 vertebrae, L3 and SIPS will be determined and recorded. The application is a valid and reliable method and its ICC score is between 0.71-0.99.

  Baseline and after 6 weeks

• Manual skills

  Will be evaluated with Purdue-Peg board test (PPBT). It is one of the tests frequently used in personnel selection for jobs requiring motor skills and coordination. It is a test that also measures the fingertip dexterity required for assembly work. Washers, rings and small nails are used in this test. The completion time of the test is recorded in seconds. The test is valid and reliable.

  Baseline and after 6 weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

STRENGTH EXERCISE TRAINING

Other: strength exercises

Study Group

EXPERIMENTAL

PNF EXERCISE TRAINING

Other: PNF EXERCISES

Interventions

PNF EXERCISES OTHER

Scapular PNF exercise training (6 Weeks) Exercise Frequency 3 days/week Exercise Intensity 60% of 1 maximum repetition Exercise Duration: 5-minute warm-up 20 minutes (2 sets of 15 repetitions) exercise training 5 min cool down Exercise Type Scapular patterns * Anterior elevation-Posterior depression * Anterior depression-Posterior elevation PNF techniques * Repetitive stretching * Rhythmic stabilization

Study Group

strength exercises OTHER

Upper limb exercise training (6 Weeks) 3 days/week 60% of 1 repetition maximum 5 minute warm up 20 min exercise training 5 min cool down Upper extremity movements - Scapular retraction - Shoulder flexion - Shoulder extension - Shoulder abduction - Shoulder adduction Resistant exercise training with Theraband and weights

Control Group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 18-35
• Volunteering to participate in the study

You may not qualify if:

• Having a systemic disease that prevents exercise,
• Having a history of orthopedic problems in the upper extremity (fracture, trauma, etc.)

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

Study Sites (1)

Gaziantep Islam Science and Technology University

Gaziantep, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Muscle Stretching Exercises

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Zekiye İpek Katırcı Kırmacı

  Gaziantep Islam Science and Technology University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst. Prof

Study Record Dates

• First Submitted: December 27, 2023
• First Posted: January 10, 2024
• Study Start: November 15, 2023
• Primary Completion: March 1, 2024
• Study Completion: March 15, 2024
• Last Updated: April 16, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)